Malungo

Malungo ndi kuwonjezeka kwakanthawi kwa kutentha kwa thupi poyankha matenda kapena matenda.

Mwana ali ndi malungo pamene kutentha kuli pamwambapa kapena pamwambapa:

• 100.4 ° F (38 ° C) amayeza pansi (molunjika)
• 99.5 ° F (37.5 ° C) amayeza pakamwa (pakamwa)
• 99 ° F (37.2 ° C) amayeza pansi pamanja (axillary)

Munthu wamkulu mwina amakhala ndi malungo pamene kutentha kumakhala kopitilira 99 ° F mpaka 99.5 ° F (37.2 ° C mpaka 37.5 ° C), kutengera nthawi yamasana.

Kutentha kwa thupi kumatha kusintha tsiku lililonse. Nthawi zambiri imakhala yokwera kwambiri madzulo. Zina zomwe zingakhudze kutentha kwa thupi ndi izi:

• Msambo wamayi. Gawo lachiwiri lazunguli, kutentha kwake kumatha kukwera ndi 1 digiri kapena kupitilira apo.
• Kuchita masewera olimbitsa thupi, kutengeka mwamphamvu, kudya, zovala zolemera, mankhwala, kutentha kwapamwamba, komanso chinyezi chambiri kumatha kutentha thupi.

Malungo ndi gawo lofunikira lakuteteza thupi kumatenda. Mabakiteriya ambiri ndi ma virus omwe amayambitsa matenda mwa anthu amakula bwino pa 98.6 ° F (37 ° C). Makanda ambiri ndi ana amakhala ndi malungo akulu omwe ali ndi matenda ochepa a tizilombo. Ngakhale malungo amawonetsa kuti mwina nkhondo ikuchitika mthupi, malungo akumenyera, osati kulimbana ndi munthuyo.

Kuwonongeka kwa ubongo kuchokera kumalungo nthawi zambiri sikungachitike pokhapokha malungo atadutsa 107.6 ° F (42 ° C). Malungo osachiritsidwa omwe amayambitsidwa ndi matenda nthawi zambiri samadutsa 105 ° F (40.6 ° C) pokhapokha mwana atapanikizika kwambiri kapena pamalo otentha.

Kugwidwa kwamphongo kumachitika mwa ana ena. Matenda ambiri operewera amatha msanga ndipo sizitanthauza kuti mwana wanu ali ndi khunyu. Kugwidwa kumeneku sikuyambitsa vuto lililonse.

Malungo osadziwika omwe amapitilira masiku kapena masabata amatchedwa malungo osadziwika (FUO).

Pafupifupi matenda aliwonse amatha kuyambitsa malungo, kuphatikizapo:

• Matenda a mafupa (osteomyelitis), appendicitis, matenda apakhungu kapena cellulitis, ndi meningitis
• Matenda opuma monga chimfine kapena matenda onga chimfine, zilonda zapakhosi, matenda amkhutu, matenda a sinus, mononucleosis, bronchitis, chibayo, ndi chifuwa chachikulu
• Matenda a mkodzo
• Viral gastroenteritis ndi bakiteriya gastroenteritis

Ana atha kukhala ndi malungo ochepera masiku 1 kapena 2 atalandira katemera.

Kupukuta mano kungapangitse kuwonjezeka pang'ono kwa kutentha kwa mwana, koma osaposa 100 ° F (37.8 ° C).

Matenda osokoneza bongo kapena otupa amatha kuyambitsa malungo. Zitsanzo zina ndi izi:

• Matenda a nyamakazi kapena othandizira monga nyamakazi ndi systemic lupus erythematosus
• Ulcerative colitis ndi matenda a Crohn
• Vasculitis kapena periarteritis nodosa

Chizindikiro choyamba cha khansa chimatha kukhala malungo. Izi ndizowona makamaka ndi matenda a Hodgkin, non-Hodgkin lymphoma, ndi leukemia.

Zina mwazomwe zimayambitsa malungo ndi monga:

• Kuundana kwamagazi kapena thrombophlebitis
• Mankhwala, monga maantibayotiki, ma antihistamines, ndi mankhwala olanda

Chimfine chosavuta kapena matenda ena a virus nthawi zina amatha kutentha kwambiri (102 ° F mpaka 104 ° F kapena 38.9 ° C mpaka 40 ° C). Izi sizikutanthauza kuti inu kapena mwana wanu muli ndi vuto lalikulu. Matenda ena akulu samayambitsa malungo kapena amatha kutentha thupi kwambiri, nthawi zambiri m'makanda.

Ngati malungo ndi ofatsa ndipo mulibe mavuto ena, simuyenera chithandizo. Imwani madzi ndi kupumula.

Matendawa mwina siowopsa ngati mwana wanu:

• Ndimakondabe kusewera
• Ndikudya ndi kumwa bwino
• Amakhala tcheru komanso akumwetulira
• Ali ndi khungu labwinobwino
• Zikuwoneka bwino kutentha kwawo kukamatsika

Chitani zinthu zokuthandizani kuchepetsa malungo ngati inu kapena mwana wanu simumva bwino, kusanza, kuuma (kusowa madzi m'thupi), kapena kusagona bwino. Kumbukirani, cholinga ndikuchepetsa, osati kuthetsa, kutentha thupi.

Poyesa kutsitsa malungo:

• MUSAMAYAMIKIRE munthu amene ali ndi kuzizira.
• Chotsani zovala kapena zofunda zokwanira. Chipindacho chikhale chabwino, osati chotentha kwambiri kapena chozizira. Yesani chovala chimodzi chopepuka, ndi bulangeti limodzi lopepuka kuti mugone. Ngati chipinda chili chotentha kapena chothina, zimakupiza zimatha kuthandiza.
• Kusamba kotentha kapena kusamba kwa siponji kumathandiza kuziziritsa munthu amene ali ndi malungo. Izi ndizothandiza pambuyo poti mankhwala aperekedwa - apo ayi kutentha kumatha kubwerera mmbuyo.
• Musagwiritse ntchito malo osambira ozizira, ayezi, kapena zopaka mowa. Izi zimaziziritsa khungu, koma nthawi zambiri zimapangitsa kuti zinthu zizikhala zoyipa poyambitsa kunjenjemera, komwe kumakulitsa kutentha kwa thupi.

Nawa malangizo othandizira kumwa malungo:

• Acetaminophen (Tylenol) ndi ibuprofen (Advil, Motrin) amathandiza kuchepetsa kutentha kwa ana ndi akulu. Nthawi zina othandizira azaumoyo amakulangizani kuti mugwiritse ntchito mitundu yonse ya mankhwala.
• Tengani acetaminophen maola 4 kapena 6 aliwonse. Zimagwira ntchito poletsa kutentha kwa ubongo.
• Tengani ibuprofen maola 6 kapena 8 aliwonse. OGWIRITSA ntchito ibuprofen mwa ana miyezi isanu ndi umodzi kapena yocheperako.
• Aspirin ndi othandiza kwambiri pochiza malungo mwa akulu. MUSAMAPATSE mwana aspirin pokhapokha ngati wopezayo akukuuzani.
• Dziwani kuti inu kapena mwana wanu mumalemera bwanji. Kenaka fufuzani malangizo pa phukusi kuti mupeze mlingo woyenera.
• Kwa ana miyezi itatu kapena yocheperako, itanani woyang'anira mwana wanu asanapereke mankhwala.

Kudya ndi kumwa:

• Aliyense, makamaka ana, ayenera kumwa madzi ambiri. Madzi, madzi oundana, msuzi, ndi gelatin ndizosankha zabwino.
• Kwa ana aang'ono samapereka madzi azipatso kwambiri kapena msuzi wa apulo, komanso osapereka zakumwa zamasewera.
• Ngakhale kudya ndibwino, musakakamize zakudya.

Itanani wothandizira nthawi yomweyo ngati mwana wanu:

• Ali ndi miyezi itatu kapena yocheperako ndipo amakhala ndi kutentha kwa 100.4 ° F (38 ° C) kapena kupitilira apo
• Ali ndi miyezi 3 mpaka 12 ndipo amakhala ndi malungo a 102.2 ° F (39 ° C) kapena kupitilira apo
• Ali ndi zaka 2 kapena wocheperako ndipo ali ndi malungo omwe amakhala nthawi yayitali kuposa maola 24 mpaka 48
• Ndi wamkulu ndipo ali ndi malungo kwa nthawi yayitali kuposa maola 48 mpaka 72
• Ali ndi malungo a 105 ° F (40.5 ° C) kapena kupitilira apo, pokhapokha atatsika mosavuta ndi chithandizo ndipo munthuyo amakhala womasuka
• Ali ndi zizindikiro zina zomwe zikusonyeza kuti matenda angafunike kuthandizidwa, monga zilonda zapakhosi, khutu, kapena chifuwa
• Wakhala ndi malungo akubwera ndikupita kwa sabata kapena kupitilira apo, ngakhale malingalirowa sali okwera kwambiri
• Ali ndi matenda akulu azachipatala, monga vuto la mtima, sickle cell anemia, matenda ashuga, kapena cystic fibrosis
• Posachedwapa adalandira katemera
• Ali ndi totupa kapena mikwingwirima yatsopano
• Ali ndi ululu pokodza
• Ali ndi chitetezo chamthupi chofooka (chifukwa cha mankhwalawa [a nthawi yayitali] steroid, fupa kapena kumuika ziwalo, kuchotsa ndulu, HIV / Edzi, kapena chithandizo cha khansa)
• Posachedwa wapita kudziko lina

Itanani omwe akukuthandizani nthawi yomweyo ngati ndinu wamkulu ndipo inu:

• Khalani ndi malungo a 105 ° F (40.5 ° C) kapena kupitilira apo, pokhapokha atatsika mosavuta ndi chithandizo ndipo muli omasuka
• Khalani ndi malungo omwe amakhalabe kapena akukwera kupitilira 103 ° F (39.4 ° C)
• Mukhale ndi malungo kwa nthawi yayitali kuposa maola 48 mpaka 72
• Wakhala ndi malungo akubwera ndikupita kwa sabata kapena kupitilira apo, ngakhale atakhala kuti sali okwera kwambiri
• Mukhale ndi matenda azachipatala, monga vuto la mtima, sickle cell anemia, matenda ashuga, cystic fibrosis, COPD, kapena mavuto ena am'mapapo amtsogolo (osatha)
• Khalani ndi zotupa zatsopano kapena mikwingwirima
• Khalani ndi ululu pokodza
• Khalani ndi chitetezo chamthupi chofooka (kuchokera ku mankhwala osachiritsika a steroid, mafupa kapena kumuika ziwalo, kuchotsa nthenda, HIV / Edzi, kapena chithandizo cha khansa)
• Ndangopita kumene kudziko lina

Imbani 911 kapena nambala yadzidzidzi yakomweko ngati inu kapena mwana wanu muli ndi malungo ndipo:

• Ndikulira ndipo sikungatonthozedwe (ana)
• Sangathe kudzutsidwa mosavuta kapena konse
• Zikuwoneka zosokonezeka
• Simungathe kuyenda
• Amavutika kupuma, ngakhale mphuno itatsukidwa
• Ili ndi milomo yabuluu, lilime, kapena misomali
• Ali ndi mutu woyipa kwambiri
• Ali ndi khosi lolimba
• Amakana kusuntha mkono kapena mwendo (ana)
• Ali ndi khunyu

Wothandizira anu ayesa mayeso. Izi zingaphatikizepo kuwunika bwino khungu, maso, makutu, mphuno, pakhosi, khosi, chifuwa, ndi pamimba kuti muwone chomwe chimayambitsa malungo.

Chithandizo chimadalira kutalika kwake komanso chifukwa cha malungo, komanso zizindikilo zina.

Mayesero otsatirawa akhoza kuchitidwa:

• Kuyesa magazi, monga CBC kapena kusiyanasiyana kwamagazi
• Kupenda kwamadzi
• X-ray ya chifuwa

Okwera kutentha; Matenda oopsa; Pyrexia; Zamgululi

• Chimfine ndi chimfine - zomwe mungafunse dokotala wanu - wamkulu
• Chimfine ndi chimfine - zomwe mungafunse dokotala - mwana
• Matenda a febrile - zomwe mungafunse dokotala wanu
• Mwana wanu wakhanda akatentha thupi

• Kutentha kwa Thermometer
• Kuyeza kwa kutentha

Sungani JE. Njira yothetsera malungo kapena matenda omwe mukuwakayikira omwe ali nawo. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 264.

Nield LS, Kamat D. Fever. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: mutu 201.